2026 NPPES data Internal Medicine Physician NPI 1215105267 MD
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SANDEEP BANSAL, MD

Internal Medicine Physician in DU BOIS, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
4K
Medicare Part D claims · 660 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
41%
generic claims · 59% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.35/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$238.7K
297 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SANDEEP BANSAL, MD is a Internal Medicine Physician ([object Object]) practicing in DU BOIS, Pennsylvania with a Medicare Part D prescribing footprint of 4K claims across 660 beneficiaries — 59% brand-name prescribing . Their CMS MIPS Final Score of 92.35/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $238.7K across 297 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SANDEEP BANSAL, MD reported a CMS MIPS final score of 92.35 out of 100, above the 83.1 national average, and filed 3,798 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SANDEEP BANSAL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SANDEEP BANSAL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 02/12/2008

NPI 1215105267

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

3,798 40% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

92.35/100 9.25% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Internal Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Internal Medicine Physician share within Pennsylvania

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Pennsylvania

Medicare quality performance — MIPS

SANDEEP BANSAL, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
92.35/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 92.35/100 vs national avg 83.1

0%100%National avg83%92.4%
MIPS final score (Internal Medicine Physician) — 92.35/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SANDEEP BANSAL, MD is a Internal Medicine Physician provider practicing in DU BOIS, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1215105267. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SANDEEP BANSAL, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 100 HOSPITAL AVE, DU BOIS, PA, 15801, with a listed phone of (814) 375-3770. NPI 1215105267 was issued on 02/12/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BANSAL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 3,798 prescription claims written by this provider, covering 660 Medicare beneficiaries and totaling roughly $3.2 million in drug spend, split 59% brand-name and 41% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.35/100 for the 2023 performance year, compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

100 HOSPITAL AVE
DU BOIS, PA 15801

Provider Details

NPI 1215105267
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 02/12/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

92.35
Final Score
Avg: 83.1
91
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SANDEEP BANSAL, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

DUBOIS REGIONAL MEDICAL CENTER
DU BOIS, PA
DUBOIS REGIONAL MEDICAL GROUP PC
STATE COLLEGE, PA
J C BLAIR MEMORIAL HOSPITAL
HUNTINGDON, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SANDEEP BANSAL, MD. Source: openpaymentsdata.cms.gov.

Total received

$238.7K

Largest payer

Regeneron Healthcare Solutions, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to SANDEEP BANSAL, MD. To verify SANDEEP BANSAL, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

SANDEEP BANSAL, MD — brand share 59.0%
Specialty average (est.)

59% brand-name claims vs 41% generic, on 3,798 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,798
Total Claims
$3.2M
Total Drug Cost
660
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,439
Total Day Supply
110,687
Brand vs Generic
59% brand / 41% generic
Brand Drug Cost
$3.0M
Antibiotic Claims
421

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.81
Gender Split
54% female / 46% male
Age Distribution
<65: 117, 65-74: 288, 75-84: 209, 85+: 46

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
667
Prednisone
405
Albuterol Sulfate Hfa
Albuterol Sulfate
268
Doxycycline Hyclate
247
Breo Ellipta
Fluticasone/Vilanterol
167
Montelukast Sodium
166
Advair Diskus
Fluticasone Propion/Salmeterol
160
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
134
Fluticasone Propionate
121
Spiriva Respimat
Tiotropium Bromide
105

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How SANDEEP BANSAL, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

SANDEEP BANSAL, MD's 3,798 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as BANSAL.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANDEEP BANSAL, MD's specialty?
SANDEEP BANSAL, MD specializes in Internal Medicine Physician and practices in DU BOIS, Pennsylvania. Credentials: MD.
How much does SANDEEP BANSAL, MD prescribe under Medicare Part D?
In 2023, SANDEEP BANSAL, MD wrote 3,798 Medicare Part D claims totaling $3.2M in drug costs for 660 beneficiaries.
What is SANDEEP BANSAL, MD's Medicare quality score?
SANDEEP BANSAL, MD has a CMS MIPS Final Score of 92.35/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANDEEP BANSAL, MD located?
SANDEEP BANSAL, MD is located at 100 HOSPITAL AVE, DU BOIS, PA, 15801. Phone: (814) 375-3770.
What is SANDEEP BANSAL, MD's NPI number?
SANDEEP BANSAL, MD's National Provider Identifier (NPI) is 1215105267, issued on 02/12/2008.
Does SANDEEP BANSAL, MD prescribe more brand-name or generic drugs?
SANDEEP BANSAL, MD's prescribing is 59% brand-name and 41% generic drugs by claim count, with $3.0M in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does SANDEEP BANSAL, MD prescribe most often?
Based on 2023 Medicare Part D data, SANDEEP BANSAL, MD's most frequently prescribed drugs include Trelegy Ellipta, Prednisone, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANDEEP BANSAL, MD accept Medicare?
SANDEEP BANSAL, MD appears in CMS Medicare data with 3,798 Part D claims and 660 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANDEEP BANSAL, MD's credentials?
SANDEEP BANSAL, MD's NPI is 1215105267 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology